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[14] Skeletally, the hormone increases osteoprotegerin and decreases RANKL, dampening osteoclast differentiation and prolonging osteoblast survival, translating to measurable gains in lumbar-spine mineral density within twelve months of therapy

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[4] [5] Gastrointestinal side effects are common with Rybelsus, including nausea, vomiting, diarrhoea, and constipation, particularly during dose escalation

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